Therapy Dog Request Form
For Pawsible
Email address *
Date *
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Facility *
Your answer
Employee/ Animal Owner
Your answer
Type of Dog
Your answer
I have read and understand the Pawsible Angels' Therapy Dog Policy. I will abide by the terms of that policy. I understand that if the therapy dog is out of control, not housebroken, presents a direct and immediate threat to others in he school, or otherwise interferes with a process, the facility may exclude or remove my therapy dog from its property.(Check saying that you have read and understand the Terms) *
Signature *
Your answer
Signature Date *
MM
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DD
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YYYY
Title *
Your answer
A copy of your responses will be emailed to the address you provided.
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